| Mohammad Reza Siadati, MD | |
|
2050 Hall Johnson Rd Ste 200, Grapevine, TX 76051-8766 | |
| (817) 267-2678 | |
| (817) 251-0039 |
| Full Name | Mohammad Reza Siadati |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 31 Years |
| Location | 2050 Hall Johnson Rd Ste 200, Grapevine, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194718452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | M9006 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Texas Health Harris Methodist Hurst-euless-bedford | Bedford, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Health Physicians Group | 4385535954 | 1232 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Texas Health Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114395969 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759 |
| Entity Name | Surgical Associates Of The Mid-cities Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497882625 PECOS PAC ID: 5294839510 Enrollment ID: O20070327000151 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammad Reza Siadati, MD 2050 Hall Johnson Rd Ste 200, Grapevine, TX 76051-8766 Ph: (817) 267-2678 | Mohammad Reza Siadati, MD 2050 Hall Johnson Rd Ste 200, Grapevine, TX 76051-8766 Ph: (817) 267-2678 |
Dr. Philip Alan Moore, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 1600 Lancaster Dr, Suite 103, Grapevine, TX 76051 Phone: 817-488-5170 Fax: 817-488-6270 | |
Dr. Thomas J Purgett, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2300 Grayson Dr Apt 517, Grapevine, TX 76051 Phone: 817-919-9165 | |
Dr. Robert S. Pollard, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2050 Hall Johnson Rd Ste 200, Grapevine, TX 76051 Phone: 817-267-2678 Fax: 817-354-0854 | |
Julio R Rivera, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1056 Texan Trl, Grapevine, TX 76051 Phone: 972-254-9399 Fax: 817-527-6610 | |
Dr. Robert Larry Elliott, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 W. College, Suite 440, Grapevine, TX 76051 Phone: 817-481-9480 Fax: 817-481-2723 | |
Sina Matin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1056 Texan Trl, Grapevine, TX 76051 Phone: 972-254-9399 Fax: 817-527-6610 |